Metallic corneal foreign bodies: an occupational health hazard

Gonul, Saban; Bozkurt, Banu; Okudan, Süleyman

doi:10.5935/0004-2749.20140102

Cited by 1 publication

(1 citation statement)

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“…This gender difference is maintained in adulthood as well [12]. However, unlike children, in adults, most injuries occur in manual labor environments such as constructions, welding, and carpentry [7,[22][23][24]. The mean age of children who presented with an ocular FB in our study was 7.7 years.…”

Section: Discussionmentioning

confidence: 75%

Demographic, clinical features, and outcomes of pediatric non-penetrating ocular foreign bodies

Smadar

Dotan

Abumanhal

et al. 2020

Graefes Arch Clin Exp Ophthalmol

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Purpose Data regarding ocular foreign body (FB) in the pediatric population is sparse. The purpose of this study is to describe the demographic features and the outcomes of pediatric non-penetrating ocular FB. Methods The charts of all children with non-penetrating ocular FB who presented at a tertiary medical center between 2011 and 2018 were retrospectively reviewed. Data analyzed included demographics, ocular FB site, the need for general anesthesia, or sedation for FB removal and clinical outcomes. Results Three hundred and fifty-two children (58.8% boys) with a mean age of 7.7 ± 3.7 years were included. Two hundred and fifty-one (71.3%) children presented on the same day of injury. Patients with developmental delay presented more often with restlessness than patients without developmental delay (p < 0.0001). One hundred and forty-six (41.5%) of FBs were found on the conjunctiva, 128 (36.4%) under the eyelid, and 62 (17.6%) on the cornea. In 19 (4.5%) cases, general anesthesia or sedation was required for FB removal. A multivariate analysis identified young age (OR 0.976, 95% CI 0.961-0.992, p = 0.003), corneal FB (OR 50.84, 95% CI 10.08-256.37, p < 0.0001), and developmental delay (OR 18.56, 95% CI 1.22-283.45, p = 0.036), as significant predictors for the need of general anesthesia or sedation. Among patients with corneal FB, in two (3.2%) cases, the corneal FB was complicated by infectious keratitis, resulting in mild corneal scar. Conclusion The rate of general anesthesia for non-penetrating ocular FB removal in children is low. Children presenting with non-penetrating ocular FB have good prognosis without long-term complications.

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Section: Discussionmentioning

confidence: 75%